Fundamentals of Regulatory Affairs, 8th edition Ch. 14 Patents and Exclusivity Joan Bergstrom Henkel Consumer Goods, Inc. Introduction • Hatch-Waxman Act of 1984 gave brand-name drug companies incentives to do new drug research including: • Patent term extension for time lost during Regulatory review • Listing patent in Orange Book • Eligibility for a period of non-patent exclusivity • Additional incentives created by other laws including: • Orphan Drug Act – drug development for rare diseases • Best Pharmaceuticals for Children Act – developing medicine for kids Patents and Exclusivity Patents • Affords right to prevent competitor from making same • Granted by the Patent and Trademark office • Awarded anytime during development of a drug • Usual duration is 17-20 years Exclusivity • Affords manufacturer exclusive marketing rights • Granted by the FDA • Awarded upon approval of a drug (NDA) • A statutory provision, if requirements are met • Duration varies Patents and Exclusivity • Patents can be expired before drug approval, issued after drug approval, and anywhere in between • Exclusivity is granted upon approval of a drug product if the statutory requirements are met • Some drugs have both patent and exclusivity protection while others have just one or none • Patents and exclusivity may or may not run concurrently and may or may not encompass the same claims • Exclusivity is not added to the patent life Patent-Related Market Exclusivity • Patent generally keeps other companies from making same product for a period of time, protecting the $ investments by patent holder • Time is lost during regulatory review of a product is an issue • Regulatory Review Time = Testing Phase Time + Review Phase Time • Period from submission to approval of NDA • Hatch-Waxman Act of 1984 says patent term may be extended • Extension = ½ Testing Phase time + Review Phase time • Assuming due diligence is maintained! • Not to exceed 14 years after date of approval of marketing application Patent Term Extension Law • Definition: “Drug Product” is active ingredient (AI) of a new drug, and salts or esters, as a single entity or in combination with other AI • Law provides that patent for drug may be extended from original issue date IF: 1. 2. 3. 4. 5. Term of patent has not expired Patent not previously been extended Extension application submitted by owner w/in 60 days of NAD approval Product in Reg. Review before it is commercially available NDA is first permitted commercial use of drug product Orange Book • Approved Drug Products with Therapeutic Equivalence Evaluations (commonly known as the Orange Book) • Lists drug products approved on the basis of safety and effectiveness by the FDA under the Federal Food, Drug, and Cosmetic Act • First published in 1980, now electronic database • Orange Book Data updated Monthly • Generic Drug Product Information updated Daily • Patent Information updated Daily Orange Book Patent Listing • Patent information is required to be submitted with all new drug applications at the time of NDA submission • Patent information is published in the Orange Book after approval of NDA, upon receipt of FDA form 3542 • For patents issued after approval of the NDA, the applicant holder has 30 days in which to file the patent to have it considered as a timely filed patent. Patents may still be submitted beyond the 30 day timeframe, but the patent is not considered a timely filed patent. • Expired patents and exclusivity are not included in the published list Non-Patent Statutory Market Exclusivity Five Year Exclusivity • 5-year exclusivity granted to sponsor of a drug not previously approved under NDA, referring to a New Chemical Entity • Sometimes called “NCE Exclusivity”, prevents approval of a generic equivalent for 5 years Three Year Exclusivity • 3-year exclusivity granted to sponsor of a drug previously approved under NDA, but reports New Clinical Investigations (studies) • Must be studies essential to approval • Must be studies conducted by same sponsor • Called the “NCI Exclusivity” or “New Use Exclusivity” Non-Patent Statutory Market Exclusivity (cont.) Pediatric Exclusivity • Provides an additional 6 months exclusivity to sponsor that conducts acceptable and beneficial Pediatric Studies • Submit Pediatric Written Request (PWR) to FDA • Applies to ALL indications of the drug or formulation, not just pediatric Orphan Drug Exclusivity • Grants 7 year exclusivity to sponsor of a drug for a “rare disease or condition” • Affects fewer than 200,000 people or sponsor shows inability to recover development or marketing costs • Other or subsequent drugs must be “different” or “clinically superior” to be approved within the 7 years Duration of Drug Exclusivity How long is exclusivity granted for? It depends on what type of exclusivity is granted: New Chemical (NCE) - 5 years Orphan Drug (ODE) - 7 years New Clinical Investigation (NCI) - 3 years, if criteria are met Pediatric (PED) - 6 months added to existing Patents/Exclusivity Patent Challenge (PC) – 180 days (this exclusivity is for ANDAs only) • See 21 C.F.R. 314.108 New Drug Product Exclusivity Patent Filing • Leahy-Smith America Invents Act (AIA) of 2011 significantly modified the patent filing process • AIA went into effect March 2013 • Grants the patent to the entity “first to file” the application regardless of any previous publications • Caused defensive publication planning by many companies • Requires greater diligence of competitive landscape Fundamentals of Regulatory Affairs, 8th edition Ch. 15 Over-the-Counter Drug Products Joan Bergstrom Henkel Consumer Goods, Inc. Introduction • Over-the-counter (OTC) drugs play increasingly important role • Durham-Humphrey Amendment to the FD&C Act in 1951 established three criteria for Prescription status drugs • Habit forming drugs • Not safe for use unless supervised by healthcare professional • Limited to prescription use under NDA • All drugs that did not meet these criteria = OTC drugs Regulation of OTC Drugs • Regulations applicable to Rx drugs also apply to OTC drugs • • • • All aspects of drug manufacture and testing (GMP’s) Facility listing and inspections Drug registrations Clinical trials and safety oversight • Both review and approval of OTC drugs done by FDA Center for Drug Evaluation and Research’s (CDER) office • Two main avenues to receive approval for an OTC drug • OTC Monograph route – Safety and efficacy data known, using approved active ingredients and labeling • NDA / ANDA route – submit safety and efficacy data OTC Monograph Route • In 1972, FDA initiated OTC Drug Review Process • Encompassed review of safety and efficacy of products on the market • Started by grouping products into therapeutic categories and evaluating the active ingredients rather than each product • FDA now reviews active ingredients and labeling for more than 80 therapeutic classes of drugs (monographs, not all finalized) • OTC Monograph is developed and published in the Federal Register OTC Monograph Review Process • Review of safety and efficacy data done by therapeutic category specific Advisory Panels, subject matter experts • Advisory Panel recommended active ingredients be classified as • Category I – generally regarded as safe and effective, not misbranded • Category II – not generally regarded as safe and effective, or is misbranded • Category III – insufficient data to permit classification • After comment periods, FDA published conclusions as • Tentative Final Monographs (Proposed Rule) • Final Monograph (Final Rule) • No defined timelines to move from TFM to FM, can be lengthy process • Can market products under TFMs • FDA can amend FMs as new information is available NDA Route • Products not covered by OTC monographs are subject to NDA process prior to marketing • Four NDA Routes • Direct-to-OTC NDA – same requirements as Rx NDA, PLUS demonstration product can be safely used without healthcare professional supervision • Rx-to-OTC Switch – used when Rx shows it can be safely used without healthcare professional supervision • NDA Monograph Deviation – used when a drug product deviates in any aspect from the OTC Monograph, like dosage form. NDA submitted with S&E data. • Generic (ANDA) - same requirements as Rx NDA, with bioequivalence data OTC NDA Products and Specific Studies • Manufacturers must conduct Safety, Efficacy, and Preclinical studies • Additional studies for OTC products: • Label comprehension – evaluate extent to which a consumer can understand and apply information on OTC label when making drug product use decisions • Open label and uncontrolled • No drug product is used • Self-selection – evaluate whether consumer makes correct decision on use/no use based on label information and knowledge of personal medical history • No drug product used • Suitable label based on comprehension should be created before test • Actual use test (AUT) or Simulation Trial – evaluate consumer behavior • Conducted under an IND • “all comers” study with actual product Labeling of OTC Drugs • Primary responsibility over OTC drug labeling belongs to FDA • In 1999, “Drug Facts” labeling rule became effective • Standardized format, content, headings, graphics, and min. type size • Ensure product information is easy to find and understand when used by ordinary people Drug Facts Label • Regulation 21 CFR 201.66 • Specific information on OTC label: • • • • • • Active ingredient Uses Warnings Inactive ingredients Purpose Directions OTC Drug Packaging Requirements • Tamper evident packaging has become standard • Regulation 21 CFR 211.132 • Statement on both inner and outer pack show tamper-evident features • Must comply with child-resistant package requirements • Requirements as defined in the Poison Prevention Packaging Act (PPPA) of 1970 • Consumer Product Safety Commission (CPSC) enforces child-resistant package requirements FDA Oversight • All OTC drug manufacturing activities must comply with 21 CFR 210 and 211 • Drug manufacturing sites are required to register with the FDA • Subject to prior approval inspections for NDA products and other routine inspections • All OTC drug products must be drug listed, though NDC number not required on OTC drug product label • Mandated safety reporting per the Dietary Supplement and Nonprescription Drug Consumer Protection Act of 2006 Assigning a Product Class • Classified based on intended use as defined by FD&C Act • Intended use determined by: • Product claims • Consumer perception • Drug ingredients ex. Cleans ex. Fluoride • Products can be both cosmetics and drugs – if two intended uses • Examples: Antidandruf shampoo, antibacterial hand soap • Must comply with requirements for either/both drugs and cosmetics Advertising • Since 1971, Regulated by the Federal Trade Commission (FTC) • No requirement to submit advertising to FTC before use • FTC has policy guides on advertising that must be consulted • National Advertising Division (NAD) of the Better Business Bureau is the investigative arm of the voluntary self-regulation program • NAD casework includes • competitive challenges from other advertisers • self-monitoring traditional and new media • Ensure all claim support data is available before advertising